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UHC Preferred Dual Complete FL-V1 (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Preferred Dual Complete FL-V1 (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UHC Preferred Dual Complete FL-V1 (HMO D-SNP) in 2025, please refer to our full plan details page.
UHC Preferred Dual Complete FL-V1 (HMO D-SNP) is a HMO D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Broward and Miami-Dade Counties. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that UHC Preferred Dual Complete FL-V1 (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
UHC Preferred Dual Complete FL-V1 (HMO D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UHC Preferred Dual Complete FL-V1 (HMO D-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For UHC Preferred Dual Complete FL-V1 (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $20.30. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.60. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $590.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $2900.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The UHC Preferred Dual Complete FL-V1 (HMO D-SNP) plan has a $590 deductible for prescription drugs. After the deductible is met, you pay the costs associated with your drugs. Once your total drug costs reach $2000, you enter the next coverage phase. This plan's premium may be reduced if you qualify for the low-income subsidy (LIS).
Additional Benefits
The UHC Preferred Dual Complete FL-V1 (HMO D-SNP) plan offers a wide range of benefits with many services having no copay. This includes inpatient hospital stays, outpatient services, primary care, preventive services, hearing exams, vision services, dental services, home health services, and more. Emergency services have a copay, and there may be copays or coinsurance for other services such as ambulance, home infusion, dialysis, and medical equipment.
Inpatient Hospital See details
Inpatient Hospital benefits, including acute and psychiatric care, are covered, with no copay for a Medicare-covered stay. Additional days for Inpatient Hospital-Acute have no copay, while Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute, and additional days and non-medicare stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services include coverage for all outpatient hospital services and observation services, with a copay of $0-$75, as well as Ambulatory Surgical Center (ASC) Services with no copay. Outpatient Substance Abuse Services are covered with no copay for individual and group sessions, and Outpatient Blood Services are covered with no copay.
Partial Hospitalization See details
Partial Hospitalization is covered by the UHC Preferred Dual Complete FL-V1 (HMO D-SNP) plan. There is no copay for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services include coverage for ground and air ambulance services with a $275 copay, and transportation services with no copay. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the UHC Preferred Dual Complete FL-V1 (HMO D-SNP) plan. Emergency Services have a $140 copay, while Urgently Needed Services, Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay.
Primary Care See details
Primary Care Physician Services, Chiropractic Services, Occupational Therapy Services, Physician Specialist Services, Mental Health Specialty Services, Podiatry Services, Other Health Care Professional, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, and Opioid Treatment Program Services are covered under the UHC Preferred Dual Complete FL-V1 (HMO D-SNP) plan. Chiropractic services have no copay, but routine chiropractic care is not covered. Occupational Therapy Services, Individual Sessions for Mental Health Specialty Services, Group Sessions for Mental Health Specialty Services, Medicare-covered Podiatry Services, Routine Foot Care, Individual Sessions for Psychiatric Services, Group Sessions for Psychiatric Services, Additional Telehealth Benefits, and Opioid Treatment Program Services have no copay. Physical Therapy and Speech-Language Pathology Services, Physician Specialist Services, Primary Care Physician Services, and Additional Telehealth Benefits have no copay.
Preventive Services See details
Preventive services include annual physical exams with no copay, and additional preventive services that may have a copay. Other preventive services like Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit are covered with no copay. However, Health Education, In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), and several other services are not covered.
Hearing Services See details
Hearing exams are covered with no copay, while routine hearing exams are limited to one per year with no copay. Prescription hearing aids are partially covered, with a copay between $199 and $1249 for all types of hearing aids, but the plan does not cover inner, outer, or over-the-ear aids. OTC hearing aids are covered with a copay between $99 and $829.
Vision Services See details
Vision services include eye exams and eyewear. Eye exams and eyewear have no copay, and routine eye exams are limited to one every year. Eyeglasses (lenses and frames) and contact lenses are covered. Eyeglass lenses and eyeglass frames are not covered, and there is a combined maximum plan benefit of $200 per year for all eyewear.
Dental Services See details
Dental services include Medicare dental services, oral exams, dental x-rays, prophylaxis (cleaning), fluoride treatment, restorative services, prosthodontics (removable), and oral and maxillofacial surgery with no copay; however, adjunctive general services, endodontics, periodontics, maxillofacial prosthetics, implant services, prosthodontics (fixed), and orthodontics are not covered. Oral exams are limited to 2 visits every year, dental x-rays are limited to 1 per year, prophylaxis (cleaning) is limited to once every six months, fluoride treatment is limited to once per year, and restorative services is limited to 2 per year. Prosthodontics (removable) is covered once every 5 years.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered by the UHC Preferred Dual Complete FL-V1 (HMO D-SNP) plan, but require prior authorization. This plan has a coinsurance of 20% for dialysis services.
Medical Equipment See details
Medical Equipment is covered, including Durable Medical Equipment (DME) with no coinsurance and no copay, and Prosthetic Devices with 0-20% coinsurance. Diabetic Equipment is covered with coinsurance for Medicare-covered diabetic supplies and a copay for Medicare-covered therapeutic shoes or inserts.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services, including all diagnostic services and radiological services, are covered under this plan. Diagnostic Procedures/Tests, Lab Services, Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services have no copay.
Home Health Services See details
Home Health Services are covered under the UHC Preferred Dual Complete FL-V1 (HMO D-SNP) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are technically covered, but not covered in practice. The plan does not cover Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, or Additional Cardiac Rehabilitation Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the UHC Preferred Dual Complete FL-V1 (HMO D-SNP) plan, with no copay for days 1-100. Additional days beyond Medicare-covered for SNF and non-Medicare-covered stays are not covered.
Other Services See details
Other services with the UHC Preferred Dual Complete FL-V1 (HMO D-SNP) plan include no copay for over-the-counter items and meal benefits, though acupuncture, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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